| Cedar Grove Counseling, Inc. | |
|
1020 Caroline St Port Angeles WA 98362-3902 | |
| (360) 452-2443 | |
| (360) 452-2738 |
| Full Name | Cedar Grove Counseling, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1020 Caroline St, Port Angeles, Washington |
| Authorized Official Name and Position | Gill Martin Orr (DIRECTOR) |
| Authorized Official Contact | 3604522443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Grove Counseling, Inc. 1020 Caroline St Port Angeles WA 98362-3902 Ph: (360) 452-2443 | Cedar Grove Counseling, Inc. 1020 Caroline St Port Angeles WA 98362-3902 Ph: (360) 452-2443 |
| NPI Number | 1770607723 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770607723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 05050500 (Washington) | Primary |
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